Dr Michael Sinnott1, Dr Chamindika Konara
1Staffandpatientsafety.org, Australia
Biography:
Dr Michael Sinnott (MBBS, FACEM, FRACP) is an Associate Professor at the University of Queensland and the Queensland University of Technology.
Michael has a strong background in research, contributing to over 50 publications and 40 speaking engagements globally and is a recognised advocate for safety in healthcare globally.
Abstract:
Introduction
All patients and healthcare workers (HCWs) have the right to protection from healthcare acquired infections, including exposure to blood-borne pathogens via sharps injuries and/or exposure to body fluids. HCWs, who routinely handle sharps devices, face the greatest risk of such infections and sharps injuries. Yet, underreporting injuries remains widespread. This lack of action in reporting compromises patient safety and quality, delays behaviour intervention in infection prevention & control (IPC), and leaves both patients and HCWs vulnerable.
Methods
In this presentation, we explore the individual and organisational factors contributing to the gap between knowledge and action in the reporting of injuries in healthcare. We undertake an observational analysis of sharps injury underreporting patterns and their consequences, using case examples, including a delayed-reporting incident that resulted in necrotising fasciitis. It reviewed the literature from other industries to identify systemic and behavioural barriers to reporting and examine interventions to improve reporting rates.
Results
As a practical response to this often-overlooked issue, we developed a simple, accessible Audit Tool. This tool bridges the gap from knowledge to action to increase reporting in healthcare settings.
Conclusion
Sharps injuries continue to be underreported, contributing factors include fear of blame, ignorance, workflow pressures, and unclear reporting systems. These gaps delay IPC efforts, increase clinical risk to both patients and HCWs, and obscure the true burden of harm. Empowering staff through an audit tool, clear protocols, access to safety-engineered devices, and leadership support will drive sustainable change to create a safer culture for patient and HCWs safety.